7Treatment - wound closure and definitive stabilization

Wound closure

Following infection after ORIF (A, B) and after débridement has been satisfactorily completed, in one or more procedures (C), consideration must be given to choosing the best means of wound closure. Suture closure, particularly with skin tension, carries very high risks of wound healing problems. If possible, delayed primary suture closure can be considered. If this is chosen, however, the surgeon must watch carefully for wound breakdown, or recurrent infection.